Individual
SUSAN ROUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 VIEW STREET, WHITEFIELD, NH 03598-3602
(603) 356-6921
Mailing address
29 VIEW ST, WHITEFIELD, NH 03598-3602
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
68608
NH
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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